Allen Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Allen Memorial Hospital, Waterloo, IA in 2024, from traditional Medicare claims. Back to the Allen Memorial Hospital profile, with quality ratings, finances and negotiated rates.
1,607
Medicare inpatient discharges
In 57 published DRGs
1.94
Case mix index
IPPS FY 2027
25%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
2,358
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system418 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 86 | $20,470 | $7,455 | $6,735 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 41 | $56,871 | $9,943 | $18,711 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 36 | $26,905 | $5,864 | $8,852 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 35 | $72,947 | $17,846 | $24,000 | 2.87 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $15,859 | $3,957 | $5,218 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 28 | $169,664 | $29,717 | $55,820 | 4.88 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 23 | $156,434 | $48,909 | $51,467 | 7.80 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 22 | $86,643 | $24,555 | $28,505 | 4.04 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $20,290 | $6,757 | $6,675 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 21 | $15,728 | $4,605 | $5,174 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $23,038 | $8,768 | $7,579 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $35,055 | $13,208 | $11,533 | 2.16 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 16 | $116,974 | $33,299 | $38,485 | 5.20 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 12 | $133,244 | $36,954 | $43,837 | 5.88 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $13,273 | $3,625 | $4,367 | 0.75 |
Infectious and parasitic diseases306 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 208 | $29,438 | $11,077 | $9,685 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 49 | $18,802 | $5,730 | $6,186 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 37 | $82,628 | $27,654 | $27,185 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $33,022 | $11,187 | $10,864 | 2.04 |
Digestive system213 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 63 | $20,538 | $5,125 | $6,757 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 35 | $17,035 | $4,102 | $5,605 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $78,661 | $25,968 | $25,880 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $35,595 | $10,779 | $11,711 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $21,819 | $7,073 | $7,179 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $55,990 | $13,944 | $18,421 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $14,058 | $4,020 | $4,625 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 15 | $37,518 | $9,776 | $12,343 | 1.67 |
Kidney and urinary tract167 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 30 | $23,555 | $10,056 | $7,750 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 28 | $13,921 | $5,093 | $4,580 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 25 | $13,043 | $4,421 | $4,291 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $25,301 | $6,821 | $8,324 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 21 | $24,232 | $6,629 | $7,972 | 1.35 |
| Renal failure with MCCMS-DRG 682, medical | 14 | $20,596 | $8,688 | $6,776 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $15,589 | $5,815 | $5,129 | 1.02 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 13 | $21,460 | $4,698 | $7,060 | 1.05 |
Respiratory system160 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 41 | $25,994 | $6,824 | $8,552 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $21,223 | $7,318 | $6,982 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $25,407 | $9,203 | $8,359 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 20 | $22,960 | $7,238 | $7,554 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $21,968 | $5,426 | $7,228 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 12 | $16,872 | $4,042 | $5,551 | 0.82 |
Mental diseases and disorders89 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 89 | $15,832 | $7,447 | $5,209 | 1.37 |
Musculoskeletal system and connective tissue66 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $65,033 | $17,648 | $21,396 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 14 | $53,921 | $12,460 | $17,740 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $43,272 | $12,457 | $14,236 | 2.11 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $64,103 | $18,499 | $21,090 | 2.99 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $18,228 | $4,966 | $5,997 | 0.97 |
Nervous system65 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 29 | $18,501 | $5,433 | $6,087 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 20 | $23,411 | $6,431 | $7,702 | 1.14 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $25,574 | $11,523 | $8,414 | 2.00 |
Endocrine, nutritional and metabolic46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 24 | $15,729 | $4,097 | $5,175 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 22 | $19,244 | $7,566 | $6,331 | 1.32 |
Blood and immune system28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $23,560 | $7,721 | $7,751 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $20,923 | $4,885 | $6,884 | 0.90 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $16,593 | $4,722 | $5,459 | 0.88 |
Liver, gallbladder and pancreas15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 15 | $33,395 | $11,786 | $10,987 | 1.92 |
Other13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 13 | $101,937 | $26,334 | $33,537 | 4.74 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 358 | 356 | $17,206 | $1,984 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 248 | 228 | $5,648 | $1,074 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 201 | 173 | $47,505 | $7,729 | $8,874 |
| Level 2 Urology and Related ServicesAPC 5372 | 151 | 34 | $2,813 | $461 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 137 | 131 | $11,141 | $1,814 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 116 | 114 | $42,855 | $9,447 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 115 | 99 | $8,828 | $1,388 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 85 | 84 | $26,848 | $4,875 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 84 | 82 | $16,297 | $3,527 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 82 | 79 | $12,513 | $2,170 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 78 | 76 | $9,174 | $1,793 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 76 | 76 | $23,847 | $3,777 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 74 | 65 | $16,283 | $2,312 | $2,629 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 61 | 61 | $41,387 | $7,459 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 60 | 60 | $107,571 | $18,622 | $21,117 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 48 | 44 | $20,617 | $4,444 | $4,982 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 44 | 44 | $37,953 | $5,628 | $6,514 |
| Level 2 Endovascular ProceduresAPC 5192 | 40 | 38 | $23,600 | $3,895 | $4,338 |
| Level 4 Endovascular ProceduresAPC 5194 | 34 | 30 | $68,849 | $13,340 | $14,606 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 34 | 34 | $39,926 | $7,170 | $8,164 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 31 | $11,135 | $2,206 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 32 | 31 | $7,149 | $1,092 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 29 | $18,729 | $2,353 | $2,636 |
| Level 4 Vascular ProceduresAPC 5184 | 27 | 27 | $20,032 | $3,745 | $3,946 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 22 | 21 | $60,450 | $14,277 | $15,763 |
| Level 2 Upper GI ProceduresAPC 5302 | 18 | 18 | $8,694 | $1,297 | $1,445 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 17 | 17 | $136,790 | $26,425 | $29,375 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $10,527 | $2,131 | $2,389 |
| Level 4 Airway EndoscopyAPC 5154 | 15 | 15 | $15,215 | $2,552 | $2,833 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | $37,197 | $6,279 | $7,291 | |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $68,648 | $15,488 | $18,465 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.